In people with hyperthyroidism, the intensity of anxiety, depression, or stress does not consistently change with higher or lower levels of thyroid hormones TSH and FT4.
Mechanism
Synthesis from 1 study
Feeling anxious or depressed in hyperthyroidism comes from how the brain responds to stress and illness, not from how much thyroid hormone is in the blood. The brain's emotional circuits change on their own, regardless of thyroid hormone levels.
Most probable mechanism
Anxiety, depression, and stress result from changes in brain circuits that process emotions and threat, and these changes happen separately from how much thyroid hormone is in the blood. Even when thyroid hormone levels are very high, the brain's emotional response does not automatically become more intense.
Neural circuits in the prefrontal cortex, amygdala, and hypothalamic-pituitary-adrenal axis exhibit altered activity patterns in response to chronic psychological stressors, independent of circulating thyroid hormone concentrations.
Evidence from Studies
Supporting (1)
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Relationship of Stressful Life Events, Anxiety and Depression to Hyperthyroidism in an Asian Population
Contradicting (0)
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